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Benefits of Pulmonary Vein Isolation Beyond Rhythm Control
The prevalence of atrial fibrillation (AF) is continually increasing, with major implications for patients and health care systems given the increased morbidity and mortality. Approximately one-third of patients with AF additionally are affected by mental health conditions (notably depression, anxiety, and perceived stress). Psychological distress conditions are independent risk factors for adverse cardiovascular outcomes (including stroke and major bleeding) in patients with AF and promote AF recurrence. Without doubt, these associations add more complexity to comprehensive treatment decisions for patients with AF.
Source: JAMA - September 12, 2023 Category: General Medicine Source Type: research

Remote interventions for informal caregivers of patients with stroke: a systematic review and meta-analysis
Conclusions Current evidence suggests that remote interventions for informal caregivers of patients who had a stroke have no significant superiority over traditional interventions. However, the quality of the included studies was low and more high-quality evidence is required to determine the possible impacts of remote interventions. PROSPERO registration number CRD42022313544.
Source: BMJ Open - September 11, 2023 Category: General Medicine Authors: Yu, T., Ren, J.-w., Wang, C., Liu, S.-s., Cun, W., Jiang, Y. Tags: Open access, Nursing Source Type: research

Who needs to be screened for primary aldosteronism?
J Formos Med Assoc. 2023 Aug 24:S0929-6646(23)00335-2. doi: 10.1016/j.jfma.2023.08.021. Online ahead of print.ABSTRACTThe prevalence of patients with primary aldosteronism (PA) is about 5%-15% in hypertensive patients, and it is common cause of secondary hypertension in clinical practice. Two major causes of PA are noted, namely bilateral adrenal hyperplasia and aldosterone-producing adenoma, and the general diagnosis is based on three steps: (1) screening, (2) confirmatory testing, and (3) subtype differentiation (Figure 1). The recommendation for screening patients is at an increased risk of PA, here we focus on which pa...
Source: J Formos Med Assoc - August 26, 2023 Category: General Medicine Authors: Wei-Chieh Huang Feng-Hsuan Liu Hao-Min Cheng Yi-Chun Tsai Yen-Ta Huang Tai-Shuan Lai Yen-Hung Lin Vin-Cent Wu Hsien-Li Kao Charles Jia-Yin Hou Kwan-Dun Wu Szu-Tah Chen Leay Kiaw Er Source Type: research

Integrative-interpersonal dynamic therapy for poststroke depression (INID): study protocol of a randomised controlled pilot trial
Introduction Depression is the most frequent psychiatric disorder following stroke, affecting about one-third of stroke survivors. Patients experience poorer recovery, lower quality of life and higher mortality compared with stroke survivors without depression. Despite these well-known malign consequences, poststroke depression (PSD) is regarded underdiagnosed and undertreated. Evidence of beneficial effects of psychotherapy to treat PSD remains scarce and inconclusive and is limited by heterogeneity in design, content and timing of the intervention. This pilot study aims to assess the feasibility of a newly developed inte...
Source: BMJ Open - August 8, 2023 Category: General Medicine Authors: Volz, M., Mundiyanapurath, S., Schauenburg, H., Meuth, S. G., Wild, B., Werheid, K., Barber, J. P., Schäfer, R., Beerbaum, L., Dinger, U. Tags: Open access, Rehabilitation medicine Source Type: research

Reminiscence therapy relieves anxiety, depression and boosts spiritual well-being in both stroke patients and their spouse caregivers: a randomized, controlled study
ConclusionsRT relieves anxiety, depression and boosts spiritual well-being in both stroke patients and their spouse caregivers.
Source: Irish Journal of Medical Science - July 19, 2023 Category: General Medicine Source Type: research

Pharmacological, non-invasive brain stimulation and psychological interventions, and their combination, for treating depression after stroke
CONCLUSIONS: Very low-certainty evidence suggests that pharmacological, psychological and combination therapies can reduce the prevalence of depression while non-invasive brain stimulation had little to no effect on the prevalence of depression. Pharmacological intervention was associated with adverse events related to the CNS and the gastrointestinal tract. More research is required before recommendations can be made about the routine use of such treatments.PMID:37417452 | DOI:10.1002/14651858.CD003437.pub5
Source: Cochrane Database of Systematic Reviews - July 7, 2023 Category: General Medicine Authors: Sabine M Allida Cheng-Fang Hsieh Katherine Laura Cox Kulsum Patel Alison Rouncefield-Swales C Elizabeth Lightbody Allan House Maree L Hackett Source Type: research

Home-based rehabilitation versus hospital-based rehabilitation for stroke patients in post-acute care stage: Comparison on the quality of life
CONCLUSIONS: The home-based rehabilitation was of lower intensity and duration than the hospital-based one, but it still achieved a significant improvement in QOL for the PAC stroke patients. The hospital-based rehabilitation offered more time and treatment sessions. Therefore hospital-based patients responded with better QOL outcomes than the home-based patients.PMID:37221114 | DOI:10.1016/j.jfma.2023.05.007
Source: J Formos Med Assoc - May 23, 2023 Category: General Medicine Authors: Yu-Chung Chen Willy Chou Rong-Bin Hong Jen-Ho Lee Jer-Hao Chang Source Type: research

Study protocol for a pilot randomised controlled trial evaluating the feasibility and effectiveness of non-pharmacological interventions to recover functionality after a transient ischaemic attack or a minor stroke: the 'Back to Normal trial
This study was approved by the Ethics Committee of the Local Health Unit of Matosinhos (Ref. 75/CES/JAS). Written informed consent will be required from all the participants; data protection and confidentiality will be also ensured. The findings of this project are expected to be submitted for publication in scientific articles, and the main results will be presented at relevant scientific meetings. Trial registration number NCT05369637.
Source: BMJ Open - April 28, 2023 Category: General Medicine Authors: Goncalves, M., Lima, M. J., Fonseca, A., Duque, C., Costa, A. R., Cruz, V. T. Tags: Open access, Neurology Source Type: research

Physio-psycho-social interaction mechanism in dyadic health of young and middle-aged stroke survivors and their spousal caregivers: a longitudinal observational study protocol
Introduction In recent years, stroke has become more common among young people. Stroke not only has a profound impact on patients’ health but also incurs stress and health threats to their caregivers, especially spousal caregivers. Moreover, the health of stroke survivors and their caregivers is interdependent. To our knowledge, no study has explored dyadic health of young and middle-aged stroke survivors and their spousal caregivers from physiological, psychological and social perspectives. Therefore, this proposed study aims to explore the mechanism of how physiological, psychological and social factors affect dyad...
Source: BMJ Open - April 11, 2023 Category: General Medicine Authors: Xiang, D., Zhang, Z.-x., Ge, S., Wang, W. n., Lin, B.-l., Chen, S.-y., Guo, E.-f., Zhang, P.-b., Liu, Z.-w., Li, H., Mei, Y.-x. Tags: Open access, Nursing Source Type: research

Multidimensional analysis of sedentary behaviour and participation in Spanish stroke survivors (Part&Sed-Stroke): a protocol for a longitudinal multicentre study
Introduction Stroke survivors usually experience long-lasting functional, emotional and social consequences that might contribute to sedentary behaviour and participation restrictions, which are important targets to address during rehabilitation. However, the trajectory and inter-relationship between these factors are unknown. Methods and analysis Part&Sed is a research project based on an observational study design with 6 and 12 months of follow-ups in stroke survivors. In addition, a qualitative analysis of the impact of the stroke on the stroke survivor, validation of the Satisfaction with Daily Occupation-Occupati...
Source: BMJ Open - February 15, 2023 Category: General Medicine Authors: de Diego-Alonso, C., Alegre-Ayala, J., Buesa, A., Blasco-Abadia, J., Lopez-Royo, M. P., Roldan-Perez, P., Giner-Nicolas, R., Part&Sed-Stroke Collaborators Group, Gu&x0308;eita-Rodriguez, J., Fini, N. A., Domenech-Garcia, V., Bellosta-Lopez, P., Navarro, L Tags: Open access, Neurology Source Type: research

Prevalence and associated factors of anxiety among the population in an urban area of China: a cross-sectional study
Conclusions Our findings showed an alarmingly high prevalence of anxiety in the population living in an urban area of China. Sleep time <6 hours and waking up suffocating had a significant association with anxiety. These findings suggest that future anxiety prevention programmes in urban areas should incorporate interventions targeted at these factors, such as improving residents’ sleep quality.
Source: BMJ Open - November 8, 2022 Category: General Medicine Authors: Wang, Q., Zhang, J., Yao, H., Jin, P., Zhao, F., Zhang, P. Tags: Open access, Mental health Source Type: research

The Efficacy of Integrated Rehabilitation for Post-Stroke Anxiety: Study Protocol for a Prospective, Multicenter, Randomized Controlled Trial
Source: International Journal of General Medicine - September 6, 2022 Category: General Medicine Tags: International Journal of General Medicine Source Type: research

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